Diphtheria has three primary characteristics: 1. a "bull neck" with edema and lymph node swelling obscuring the neck landmarks 2. a "pseudomembrane" composed of dead skin and friable tissue obscuring the airway 3. Heart complications and other issues that show up as the child is improving These children used to choke to death. One of my mentors tried to intubate a child in the far north, and he just pushed the pseudomembrane down into the lungs as she bled out. THIS is the disease that finally lead to acceptance of cricothyroidotomy, or punching a hole in the neck to establish an airway. Doctors historically were unwilling to do it, but they started to save some lives with diphtheria this way. That bullneck? It obscures the landmarks, and you have trouble finding where to put the tube. https://imgur.com/a/5ZEuYTj https://imgur.com/a/wyWrBAY https://imgur.com/a/ZeQX9WW So what do you do? Treat the Corynebacterium bacteria with antibiotics, but it releases more diphtheria toxin as it dies, so there is a delicate balance. Get an airway established with a hold in the neck if they are even moderately ill, because it gets worse fast. Keep them alive if you can, and then deal with the subsequent mycocarditis and neuritis if they occur. |
| MAGA lunatics need to get out of medicine and healthcare and start listening to the people who actually study medicine. |
Tetanus is horrible, but there is not much you can do. It's all supportive care. That would be hard on hospitals and the infrastructure, but -- to be frank -- it doesn't require special training to watch someone die when it is inevitable, as there is no treatment. |
Sorry, typos: "hole in the neck" and "myocarditis" |
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Dittrick Medical History Center at Case Western Reserve Deadly Diphtheria: the children's plague https://artsci.case.edu/dittrick/2014/04/29/deadly-diphtheria-the-childrens-plague/
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There is a vaccine but people who do not care whether their children live or die listen to fools like RFK, Jr. |
Tetanus, pertussis, diptheria. But do I have this right -- MAHA prefers their children to get "natural immunity" by catching each of them in turn, instead of getting a well-tested vaccine? God help us. No treatment for tetanus, people. Literal death sentence. By the time you know your child contracted it, it's time to buy a child-sized coffin and just wait. |
They vote ruby red. Elections have consequences. |
My grandfather’s brother died of tetanus at age 10. All of his siblings lived into their nineties. His mother never got over it and lamented his death till her last day. It’s mind boggling that someone would not avail of preventative measures. |
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By the way, the modern diphtheria vaccine was invented in the 1920s. Prior to that, physicians were injecting children with antibodies filtered from animals infected with diphtheria. And after that, in the early 1910s, there was an antibody-antigen complex that served as a vaccine. Just so you know your history. https://www.chop.edu/vaccine-education-center/science-history/vaccine-history/developments-by-year Children's Hospital of Philadelphia Vaccine History: Developments by Year |
This is disinformation. I’m not trying to minimize tetanus, but it erodes trust when the believers of science propagate provable falsehoods. |
| stay up to date and don't go near MAGAs |
They’re all experts because “they did their own research”. |
This is such a lazy canard. A central tenet of our healthcare system is that patients should be given informed consent before a treatment. That usually means a conversation with a doctor. People like you consider that unremarkable yet guffaw at the notion that a motivated layman could ever research their way to a better understanding of a medical question. |
Smallpox is scary af. It’s been eradicated and if it somehow makes it back to the US then they need to fire Kennedy and his band of misfits. |